| NPI | 1780263624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84939) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT MED-NUTR-LIC-116161) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-03-06 |