| NPI | 1699076877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113311) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00246800) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-03-28 |