| NPI | 1689622607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 719610) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83533) |
| 133V00000X Dietitian, Registered (Licence: WA DIET.DI.00001506) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-08-20 |