| NPI | 1285153981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86031) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000898) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-07-10 |