| NPI | 1144033937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89220) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND10962) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |