| NPI | 1225351620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53392) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1028432) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2021-02-16 |