| NPI | 1528300167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0734) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 1062374) |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical (Licence: ND PAC0734) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-12-07 |