| NPI | 1023506011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09437) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: NC 0010-09437) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-01-29 |