| NPI | 1487453155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00902900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066479) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00902900) | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-09-24 |