| NPI | 1285956151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4381) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00222900) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 013440) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2024-05-14 |