| NPI | 1720699945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86117492) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86372) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |