| NPI | 1952095259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86214) |
| Additional Taxonomies | 133VN1301X Dietitian, Registered Nutrition, Oncology (Licence: TX DT86214) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |