| NPI | 1548726441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00845800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005890RX) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-09-04 |