| NPI | 1407480791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00570200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025145-01) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2025-04-01 |