| NPI | 1760077705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA70072208) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-12-11 |