| NPI | 1215396353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00830600) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 019442-1) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-11-18 |