| NPI | 1598758419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD1534) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT06146) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2024-08-29 |