| NPI | 1972018752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85946) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN002354) |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2022-07-13 |