| NPI | 1942574454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1283) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85778) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2019-04-05 |