| NPI | 1871851659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00780600) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: 015462) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2023-12-16 |