| NPI | 1548756679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00786000) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 4297) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2025-06-23 |