| NPI | 1205327202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00542700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA05977) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-10-29 |