| NPI | 1750931499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00838300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024011) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2025-04-29 |