| NPI | 1750747945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00384900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019571) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2023-09-15 |