| NPI | 1154195469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81445) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM LD-1352) |
| 133V00000X Dietitian, Registered (Licence: OR 10202320) | |
| 133V00000X Dietitian, Registered (Licence: WA 61000856) | |
| 133V00000X Dietitian, Registered (Licence: ID 1154) | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |