| NPI | 1992400352 |
|---|---|
| Former Name | PARKER WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88010) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L008750) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2026-02-10 |