NPI | 1043786577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005924RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6804) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2022-12-13 |