| NPI | 1154035822 |
|---|---|
| Former Name | JAID GAMPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.007755RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007755RX) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-12-18 |