NPI | 1700264314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0779) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 0969) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2019-07-26 |