| NPI | 1851894877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 010923) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84563) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2022-03-17 |