| NPI | 1518523976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86050777) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT90653) |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2024-08-04 |