| NPI | 1447708680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6499) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 968751) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2024-05-01 |