| NPI | 1740665561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 1055905) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83758) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-07-16 |