| NPI | 1013305002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84547) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3679) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-11-03 |