| NPI | 1437815396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00817800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011635) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-01-23 |