| NPI | 1225886757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT90154) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 3650) |
| 133V00000X Dietitian, Registered (Licence: FL ND10845) | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |