| NPI | 1699584714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND13847) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT91673) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |