| NPI | 1902531163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86370775) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87882) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-01-16 |