| NPI | 1346308442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00213800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 005924) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-07-13 |