NPI | 1972168151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT88541) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: TX DT88541) |
133NN1002X Nutritionist, Nutrition, Education (Licence: MS D1706) | |
133V00000X Dietitian, Registered (Licence: MS D1706) | |
Enumeration Date | 2019-05-03 |
Last Update Date | 2025-07-15 |