| NPI | 1295352813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117826.) |
| Additional Taxonomies | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: NC L005602) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-09-13 |