| NPI | 1316951734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00142100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9108515) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-01-20 |