| NPI | 1265614911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00421400) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 0071705) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 717052 (ID#)) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NJ 26NR112011600) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-08-17 |