| NPI | 1982287769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NJ 644667) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2026-03-06 |