| NPI | 1033669163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006149) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06155) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-10-03 |