| NPI | 1619514767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA00000) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 34455-DI-2) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2025-07-29 |