| NPI | 1164160578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.007803RX) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-03-10 |