| NPI | 1568939940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ NJMP00669300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111475) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2024-11-11 |