| NPI | 1306338918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1879) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82804) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-10-31 |