| NPI | 1558636167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TX NA08767798) |
| 376K00000X Nurse's Aide (Licence: TX NA08767798) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |