| NPI | 1093341406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5322) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 2482) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-10-21 |