| NPI | 1255586673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00279600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00337900) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2012-04-11 |