| NPI | 1821814054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT91339) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10258927) |
| 133V00000X Dietitian, Registered (Licence: OH LD.007797) | |
| 133V00000X Dietitian, Registered (Licence: GA LD007797) | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-10-20 |