| NPI | 1740434687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA 60652684) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005103) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2017-04-17 |