| NPI | 1417646704 |
|---|---|
| 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 |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2026-06-11 |