| NPI | 1245501287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00277200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055296) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-05-20 |