| NPI | 1912784778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88539) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-11-07 |