| NPI | 1588522809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81537) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM NDP20240126) |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-01-14 |