NPI | 1679886899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00240400) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-07-16 |
Last Update Date | 2013-11-13 |