| NPI | 1669059242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00700100) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA063255) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-12-23 |