| NPI | 1043826340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86699) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86177106) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-06-16 |