| NPI | 1306508817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-07-26 |