| NPI | 1801308044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00727900) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 3991) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2026-04-09 |