| NPI | 1336319839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 14830) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA 001135) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-08-19 |