| NPI | 1043477110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 001844) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001519A) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2017-02-08 |