| NPI | 1144814518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00624100) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-04-08 |