| NPI | 1780293621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86608) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08887) |
| 133V00000X Dietitian, Registered (Licence: NV 39964-DI-0) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2025-01-07 |