| NPI | 1043528086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00300200) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 007132) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2025-03-10 |