| NPI | 1427294347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00754700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009883) |
| 363A00000X Physician Assistant (Licence: IL 085005488) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2023-01-10 |