| NPI | 1184810764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00063900) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25mp00063900) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-10-01 |