| NPI | 1982117438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00536600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00536600) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-10-14 |