| NPI | 1033660246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 022428-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00413700) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2018-12-13 |