| NPI | 1427294347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029301) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00754700) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2026-07-10 |