NPI | 1326400342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00393400) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058851) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2023-12-16 |