| NPI | 1598348187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86118534) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-02-06 |