| NPI | 1699493619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2020020395) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT90216) |
| 133V00000X Dietitian, Registered (Licence: IA 128342) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-12-13 |