| NPI | 1902294283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86055119) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT83507) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2017-01-22 |