| NPI | 1538209838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00172300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059640) |
| 363A00000X Physician Assistant (Licence: NY 011560) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-06-18 |