| NPI | 1538323480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ NJDCATEMP-031819) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053285) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-05-07 |