| NPI | 1346267275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00247900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C03247) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-12-10 |