NPI | 1790976512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD0748) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT06119) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2016-02-11 |