| NPI | 1083975247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 14243154-1206) |
| Additional Taxonomies | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: 1033770) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2025-09-26 |