| NPI | 1811605397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00753500) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-01-13 |