| NPI | 1962879262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00391600) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA060141) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2025-03-25 |