| NPI | 1033402755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058969) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2022-07-21 |