| NPI | 1134172570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50002772) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0003198) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-12-09 |