| NPI | 1588219059 |
|---|---|
| Former Name | SUSAN MARIE ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84625) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX6355) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-12-01 |