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 |