| NPI | 1326490277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81266) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: TX DT81266) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-07-04 |