| NPI | 1184961070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 861815) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 419) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |