| NPI | 1588344618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT82046) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 120704) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |