| NPI | 1083812622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005013) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-11-13 |