| NPI | 1619514767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 34455-DI-2) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-04-29 |