| NPI | 1114728326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351055897) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT87012) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-06-22 |