| NPI | 1265808018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00599300) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA031169) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-05-02 |