NPI | 1194312330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009204RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025512) |
Enumeration Date | 2020-12-22 |
Last Update Date | 2024-12-26 |