| NPI | 1790192896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81905) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-07-17 |