NPI | 1992313688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00660900) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2020-07-19 |
Last Update Date | 2024-10-27 |