| NPI | 1427619519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85206) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1749) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2021-03-22 |