| NPI | 1891937280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00008400) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA000896L) |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA000016L) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2016-07-18 |