| NPI | 1184278871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00806200) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-10-16 |