NPI | 1023876018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009915) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2024-03-13 |
Last Update Date | 2024-03-13 |