| NPI | 1932516903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 86010520) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 8837530-4901) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-01-30 |