| NPI | 1093341406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: OK 2482) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-03-18 |