| NPI | 1306317250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86070480) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2026-03-24 |