| NPI | 1639841935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00666600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 1187799) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-01-27 |