| NPI | 1952894339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00724200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 4123) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-12-06 |