| NPI | 1710432323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: TX DT82315) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 00996652) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |