| NPI | 1366065245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81383) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 14157766-4901) |
| 133V00000X Dietitian, Registered (Licence: FL ND12772) | |
| 133V00000X Dietitian, Registered (Licence: MD DX6715) | |
| 133V00000X Dietitian, Registered (Licence: NM NDP-2025-0023) | |
| 133V00000X Dietitian, Registered (Licence: NV 40823-DI-0) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-03-19 |