| NPI | 1104419068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006661RX) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 50.006661RX) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-11-03 |