| NPI | 1932257490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63238) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 945864) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-12-11 |