| NPI | 1902948375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00190300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 23 012151) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-07-09 |