| NPI | 1770803850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81110) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 00994711) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-07-10 |