| NPI | 1851876684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00619800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 022649) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2023-02-23 |