NPI | 1275924847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00360500) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057478) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2023-02-15 |