| NPI | 1033355326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.001450) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-00-1451) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2012-03-01 |