| NPI | 1942826458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00582200) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 208600000X Surgery (Licence: NJ 25MP00582200) | |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-10-09 |