| NPI | 1831559053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 875041) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT82731) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |