| NPI | 1568603868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1813) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT07378) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |