| NPI | 1578181269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD-0905) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85136) |
| 133N00000X Nutritionist (Licence: NM LN-0814) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |