| NPI | 1932888120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT89960) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 2779) |
| 133V00000X Dietitian, Registered (Licence: MD DX6417) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-08-26 |