| NPI | 1659152734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2176) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT85495) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |