| NPI | 1225429863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83559) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2014024678) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |