| NPI | 1336565381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT018697) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007875) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2018-06-15 |