| NPI | 1780408096 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 86343497) | 
| Enumeration Date | 2024-11-13 | 
| Last Update Date | 2025-07-02 |