| NPI | 1043404379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51359) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 00969551) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2014-03-07 |