| NPI | 1902119803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06004) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT06004) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-11-04 |