| NPI | 1336472935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00271200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 1923) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2026-02-02 |