| NPI | 1467828509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00371100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019307) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-08-23 |