| NPI | 1144899790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83407) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: TX 86029384) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2022-08-15 |