| NPI | 1558626697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 01064629) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: TX 01064629) |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: TX 01064629) | |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2021-10-15 |