| NPI | 1093539785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00920100) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 033008) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-01-05 |