| NPI | 1659615805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 39488-DI-0) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82045) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2025-04-07 |