| NPI | 1548824170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00531900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060868) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-06-17 |