| NPI | 1093022543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00414700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014150) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2023-06-27 |