| NPI | 1417145723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00073400) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA050673) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2025-04-24 |