| NPI | 1326411174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD001959) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81569) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |