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 |