| NPI | 1467077826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15885) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L005937) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-10-10 |