NPI | 1013233055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003035) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007063) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2023-11-03 |