| NPI | 1346461365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT02650) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60632) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT02650) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-10-04 |