| NPI | 1326474628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00321600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016982) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-08-06 |