| NPI | 1437535226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00408700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 9004287) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-01-24 |