| NPI | 1093072167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83182) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 1071562) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-04-10 |