| NPI | 1881656544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2268) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT04727) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2024-05-16 |