| NPI | 1952825960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83046) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86008218) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |