| NPI | 1750952834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 913619) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87045) |
| 133V00000X Dietitian, Registered (Licence: MT 98985) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |