| NPI | 1609546829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK LD2630) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87200) |
| 133V00000X Dietitian, Registered (Licence: OR 10226937) | |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2024-05-17 |