| NPI | 1477850782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 82664) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 01006084) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2022-06-15 |