| NPI | 1942432026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00229200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116852) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2025-03-31 |