| NPI | 1003018763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-004144) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-11-17 |