| NPI | 1598756116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 249) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT03954) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-05-16 |