| NPI | 1861723439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80979) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2009024337) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2023-05-02 |