NPI | 1053121921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00913000) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-03-17 |