| NPI | 1932670486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP0050660) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001277) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2021-03-24 |