| NPI | 1609377217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86952) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 170-LD) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-01-13 |