| NPI | 1770025090 |
|---|---|
| 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: CA 86049080) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-03-29 |