| 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 |