| NPI | 1871958256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00722100) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MP00722100) |
| 363A00000X Physician Assistant (Licence: NY 022129) | |
| 363A00000X Physician Assistant (Licence: PA MA059046) | |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00722100) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2025-02-26 |