| NPI | 1669229175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89895) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 5264) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |