| NPI | 1841538790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00298400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 016194-1) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2018-12-27 |