| NPI | 1972257103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88164) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 61231011) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2024-09-27 |