| NPI | 1811511256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88257) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86085470) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-09-02 |