| NPI | 1942705009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85748) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1965) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-05-10 |