| NPI | 1912279118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN RD1020037) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82209) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2013-06-17 |