| NPI | 1144992942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027380) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00632400) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-09-28 |