| NPI | 1487712949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00091200) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 022598) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-08-02 |