| 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 |