| NPI | 1255631438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 85007169) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT7196) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2021-10-28 |