NPI | 1083159610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50007628RX) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-01-06 |
Last Update Date | 2022-09-09 |