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 |