| NPI | 1780977645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00695200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055865) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2026-06-02 |