| NPI | 1669003745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00866300) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MA061392) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-08-07 |