| NPI | 1962636308 |
|---|---|
| Former Name | JESSICA LYNN DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80765) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2015-07-20 |