| NPI | 1982078531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 1193054) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86029200) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2025-08-06 |