| NPI | 1821474958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61459) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005771) |
| 363A00000X Physician Assistant (Licence: IL 085006632) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-03-30 |