| NPI | 1295246692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62965) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86026975) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: CA 86026975) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-08-01 |