| NPI | 1912545294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00555100) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MP00555100) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-10-20 |