| NPI | 1033432968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.002827) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2013-09-17 |