| NPI | 1902182843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81879) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 1010017) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2025-05-06 |