| NPI | 1780152181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT84679) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-10-04 |