| NPI | 1194378455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 032868) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MP00533500) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-12-23 |