| NPI | 1609699677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: TX DT86487) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86487) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-01-23 |