NPI | 1285232140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00584200) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MP00584200) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-12-07 |