| NPI | 1821260373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00428900) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 012268) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-07-10 |