| NPI | 1922831940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008610) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT91471) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-03-06 |