NPI | 1356464754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06364) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT06364) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |