| NPI | 1508368424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00467100) |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-12-21 |