| NPI | 1922786227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86168531) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT88522Credential) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |