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 |