| NPI | 1255560942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00729400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013303) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-02-13 |