| NPI | 1194367011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT82399) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82399) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2021-07-29 |