| NPI | 1902381890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 24MP00495200) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MP000495200) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-06-08 |