| NPI | 1023298064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00220100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA 052967) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2016-06-28 |