| NPI | 1275285439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC MPA.4924) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007389) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-11-02 |