| NPI | 1326312851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NJ 1004173) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2018-09-10 |