| NPI | 1285060657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 1285060657) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017000) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-05-19 |