| NPI | 1215758388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L008162) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT89199) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |