| NPI | 1982227021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85147) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2020010551) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2023-11-22 |