| NPI | 1477030948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003597A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006740) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-03-06 |