| NPI | 1598446528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00790000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MP00790000) |
| 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00790000) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-06-16 |