| NPI | 1427438860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP0036800) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ MC3566140) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-01-16 |