| NPI | 1831978485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: 86378942) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-11-12 |