| NPI | 1730593807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND6254) |
| 133V00000X Dietitian, Registered (Licence: OH LD.7460) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-07-13 |