| NPI | 1164473765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NV PA949) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 40306-DI-0) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-27 |