| NPI | 1225630908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 1087613) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-04-25 |