| NPI | 1013458819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007593RX) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009771) |
| 363A00000X Physician Assistant (Licence: OH 50.00759RX) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-11-18 |