NPI | 1184190241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005608RX) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-10-16 |
Last Update Date | 2024-10-03 |