| NPI | 1184065864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06312) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 911696) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX 21420625) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-05-01 |