| NPI | 1144945643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009051RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116604) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-01-08 |