| NPI | 1225283476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00075800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0000577) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2019-07-08 |