| NPI | 1689281693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024731) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00563400) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-09-28 |