| NPI | 1790300259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88116) |
| Additional Taxonomies | 101Y00000X Counselor |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered (Licence: NM LD2023085) | |
| 174H00000X Health Educator | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-06-11 |