| NPI | 1780087635 |
|---|---|
| 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: MN 3439) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-05-13 |