| NPI | 1578988838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00326100) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA65031) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA61387790) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2025-10-09 |