NPI | 1093238909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA59588) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1072873) |
Enumeration Date | 2017-07-23 |
Last Update Date | 2024-04-03 |