| NPI | 1275221996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88159) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 4344) |
| 133V00000X Dietitian, Registered (Licence: NC L007173) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |