| NPI | 1316948623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00013100) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MP00013100) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2016-12-20 |