| NPI | 1295446193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86171843) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87578) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |