| NPI | 1205192481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 2682) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81422) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2026-05-14 |