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 |