| NPI | 1558881292 |
|---|---|
| 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: 1041101) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-03-02 |