| NPI | 1518527019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00730500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 4478) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-04-24 |