| NPI | 1649850512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85819) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 86100839) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-01-27 |