| NPI | 1912140237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81743) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD D02036) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2012-02-02 |