| NPI | 1619144136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX6271) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT 04626) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-02-04 |