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 |