| NPI | 1669263315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 11738) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 91890) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |