| NPI | 1093706244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 18596) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD D02163) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2026-08-08 |