| NPI | 1346911658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00820600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062735) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2024-02-02 |