| NPI | 1962095935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81265) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT81265) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |