| NPI | 1437278421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00519500) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-04-11 |