| NPI | 1407469711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86104808) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85464) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-06-28 |