| NPI | 1023025749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052054) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000982) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DE C5-0012241) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ 25MP00907500) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-10-22 |