| NPI | 1992448294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00673300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MP00673300) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-05-11 |