NPI | 1023415924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86341) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003760) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2022-05-17 |