| NPI | 1730331265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00486700) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053678) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2018-10-01 |