| NPI | 1801034871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80472) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: TX DT080472) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2019-03-15 |