| NPI | 1780330308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2025-0142) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2026-01-06 |