| NPI | 1912471558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86067304) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84712) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-08-14 |