| NPI | 1679851711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298448) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00675800) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-09-12 |