| NPI | 1376172437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86088484) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 4868274-4901) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |