| NPI | 1144458688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80694) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT80694) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT80694) | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT80694) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |