| NPI | 1023775954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1107024) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 1107024) |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2021-11-28 |