| NPI | 1740614668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 995019) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81297) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |