| NPI | 1386329530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151016413) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 86066565) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |