| NPI | 1467078469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11414) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-02-27 |