| NPI | 1427209782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1341) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 944) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2017-03-20 |