| NPI | 1871272294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT87209) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86264611) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-04-16 |