| NPI | 1336233279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012014-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00143600) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-10-02 |