| NPI | 1710262753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 931691) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DTO7672) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |