| NPI | 1598286718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00438000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020882-1) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-03-17 |