| NPI | 1255327037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50-001743RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08489) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2025-10-07 |