| NPI | 1447011010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MP00833900) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-05-01 |