| NPI | 1255787198 |
|---|---|
| Former Name | MARLEE ROSENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00400300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058029) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-12-18 |