| NPI | 1831264365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00146900) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051331) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-04-09 |