| NPI | 1558873141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83994) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 1095181) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-12-01 |