| NPI | 1609571959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86092838) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86092838) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-05-17 |