| NPI | 1659120962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 5450) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT89040) |
| 133V00000X Dietitian, Registered (Licence: FL ND13153) | |
| 133V00000X Dietitian, Registered (Licence: TX 86145255) | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |