| NPI | 1508307547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00430900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058920) |
| 363A00000X Physician Assistant (Licence: PA OA004087) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2024-06-12 |