| NPI | 1477973329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA052715) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10305300) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-06-18 |