| NPI | 1669421988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 942895) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 942895) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2011-09-06 |