| NPI | 1861188526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88618) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-09-29 |