| NPI | 1427554716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00730700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021906) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-05-18 |