| NPI | 1689974289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00283800) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014376) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-12-02 |