| NPI | 1720302367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT03782) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 000393) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2017-12-15 |