| NPI | 1598207094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83616) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86003986) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2025-07-02 |