| NPI | 1104384775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005806) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OH 50.005806rx) |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2023-10-10 |