| NPI | 1093238909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA227661) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA59588) |
| 133V00000X Dietitian, Registered (Licence: CA 1072873) | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2026-04-03 |