| NPI | 1891283727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86052609) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2021-08-23 |