| NPI | 1851641898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00929400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055751) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-07-01 |