| NPI | 1962182725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2842) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT88489) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-10-31 |