| NPI | 1346894292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63653) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NM 978266) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-11-30 |