| NPI | 1073097317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060223) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00543800) |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2020-06-26 |