| 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 |