| NPI | 1265160998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 031634) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00723900) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-03-18 |