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 |