| NPI | 1700836020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00138000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009526) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-05-10 |