NPI | 1003256892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A179638) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 3422) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2022-09-02 |