| NPI | 1982132916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86052) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 2798) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2026-03-06 |