| NPI | 1376841825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053688) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00223300) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2023-01-12 |