| NPI | 1922519271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00449500) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 021388) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-07-18 |