| NPI | 1720060767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 1240) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MP00448200) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-03-16 |