NPI | 1962913145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00513900) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 021488) |
363A00000X Physician Assistant | |
Enumeration Date | 2017-10-16 |
Last Update Date | 2024-05-02 |