| NPI | 1023609419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007300RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601010320) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2026-01-27 |