| 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 |