| NPI | 1225835747 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT82476) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD7038) | 
| Enumeration Date | 2025-03-03 | 
| Last Update Date | 2025-03-03 |