| NPI | 1689971517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81852) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60366846) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2021-05-11 |