| NPI | 1699404327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88988) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 2599) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-03-12 |