| NPI | 1104437425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 50.006553RX) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 50.006553RX) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-04-17 |