| NPI | 1598446528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00790000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MP00790000) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-10-22 |