| NPI | 1215611611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008337RX) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 50.008337RX) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 50.008337RX) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 444595) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-09-19 |