| NPI | 1437185345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ MP001871) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 010967) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-12 |