| NPI | 1023993425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT91180) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 012939) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-11-21 |