NPI | 1942989389 |
---|---|
Former Name | LISA VALDESPINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT06434) |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT06434) |
Enumeration Date | 2023-07-13 |
Last Update Date | 2023-12-04 |