| NPI | 1356446678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 007175) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 007175) |
| 133V00000X Dietitian, Registered (Licence: GA 962527) | |
| 133V00000X Dietitian, Registered (Licence: GA LD002912) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-01-20 |