| NPI | 1386403061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP01020700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 031374) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2026-08-07 |