| NPI | 1609887496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06469) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 912732) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-03-13 |