| NPI | 1245550706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.00588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054379) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-01-14 |