| NPI | 1174847776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003163) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-02-14 |