| NPI | 1477875409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 996348) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81293) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2013-09-11 |