| NPI | 1558400994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 606206) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |