| NPI | 1326412735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-008318) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 133V00000X Dietitian, Registered (Licence: MD DX3872) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-01-21 |