| NPI | 1447407762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00215200) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002259) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA053167) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2018-03-17 |