| NPI | 1316382484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00608000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016530) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2026-06-10 |