| NPI | 1700343910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88296) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37003451A) |
| 133V00000X Dietitian, Registered (Licence: MD DX4280) | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2025-02-07 |