| NPI | 1821398561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 01050261) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-02-22 |