| NPI | 1467115469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00920700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C08617) |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2025-11-13 |