| NPI | 1689206104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86398) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-10-13 |