| NPI | 1972797553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86992) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 855375) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-01-16 |