| NPI | 1275032211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005408) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 1150750) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-04-29 |