| NPI | 1740027762 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86212389)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87716)  | 
| 133V00000X Dietitian, Registered (Licence: KS 3107)  | |
| Enumeration Date | 2024-07-09 | 
| Last Update Date | 2024-07-09 |