| NPI | 1548547268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00269000) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055347) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2020-10-20 |