| NPI | 1891185179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT83494) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83494) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2022-07-21 |