| NPI | 1710075114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00088400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006330-1) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-05-29 |