| NPI | 1891523841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 012172) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT89009) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |