| NPI | 1881465672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01065055) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86225) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-04-03 |