| 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 |