| NPI | 1699944033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00471900) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012389) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9117706) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA063671) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2025-11-10 |