| NPI | 1598179574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4946) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82485) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-04-24 |