| NPI | 1306354618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55562) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 1003397) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2024-02-20 |