| NPI | 1851128805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT90393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45806) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |