| NPI | 1467495507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 07586) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MA12023900) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2026-02-23 |