| NPI | 1871088393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56978) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP0047600) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-10-24 |