| NPI | 1538439278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00276500) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055223) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2017-05-12 |