| NPI | 1588800312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053942) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00223000) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2025-03-25 |