| NPI | 1992282487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5599) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 86034910) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-11-20 |