| NPI | 1003131996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21954) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33578R) |
| 133N00000X Nutritionist (Licence: PR 1565) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 21954) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2022-01-27 |