| NPI | 1669741187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84643)  | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 39174-DI-0)  | 
| 133V00000X Dietitian, Registered (Licence: CA 01022029)  | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2011-12-29 | 
| Last Update Date | 2025-07-15 |