| NPI | 1598901027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00651000) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012199) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2025-10-02 |