| NPI | 1497994966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05131) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003231PL) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2014-07-28 |