| NPI | 1851544357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 008796) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00170500) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2011-07-27 |