| NPI | 1033440235 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001250) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86573) | 
| Enumeration Date | 2010-01-27 | 
| Last Update Date | 2021-04-05 |