| NPI | 1134838337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00743700) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00743700) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-04-21 |