| NPI | 1326667551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 32100475) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-06-06 |