| NPI | 1376207639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT87350) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L007176) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2023-01-13 |