| NPI | 1609420348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 63092) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00532000) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2025-05-28 |