| NPI | 1780950824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DTO6453) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: TX DTO6453) |
| 133NN1002X Nutritionist Nutrition, Education (Licence: TX DTO6453) | |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: TX DTO6453) | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: TX DTO6453) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |