| NPI | 1720536071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86050504) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2024-01-10 |