| NPI | 1063816213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1791) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2018-02-23 |