| NPI | 1821478827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 950484) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80230) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |