| NPI | 1225334766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00449400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054798) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2020-09-14 |