| NPI | 1043924970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00758700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA006362) |
| 363A00000X Physician Assistant (Licence: PA MA064307) | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-10-09 |