| NPI | 1518699149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84803) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DT84803) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-11-13 |