| NPI | 1659827806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86035279) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-06-19 |