| NPI | 1801295217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 1105486) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2025-01-03 |