| NPI | 1841775236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00766900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 022690) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-09-03 |