| 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 |