| NPI | 1083864516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0031721) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363A00000X Physician Assistant (Licence: VI 062) | |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2024-01-27 |