| NPI | 1487675070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA001291L) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ MP000369) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-08-15 |