| NPI | 1659700433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 1058340) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 8602438-4901) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2020-07-13 |