| NPI | 1689896227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ MP00323) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 005791) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |