| NPI | 1588129498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060526) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00514100) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2025-09-24 |