| NPI | 1285808717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83342) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD003107) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2015-10-08 |