| NPI | 1477865160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 1092466) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00242000) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2024-04-23 |