| NPI | 1770231185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00751000) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2026-06-26 |