| NPI | 1255807400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 1152525) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.007531) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-01-29 |