| NPI | 1811388192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM 1328) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 507537600) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-09-15 |