| NPI | 1689195737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88349) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 86079020) |
| 133V00000X Dietitian, Registered (Licence: UT 10434924-4901) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-02-22 |