| NPI | 1184936874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00246700) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053954) |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA002499) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2013-05-02 |