| NPI | 1992746242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00032600) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA-002428-L) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-02-26 |