| NPI | 1154937035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00711000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007768) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-04-04 |