| NPI | 1508212457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00390800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110919) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-05-07 |