| NPI | 1932752185 |
|---|---|
| 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: 86046995) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-04-21 |