| NPI | 1770258733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86155105) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 86155105) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-10-23 |