| NPI | 1285027847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 094440) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 002420) |
| 363A00000X Physician Assistant (Licence: OH 004345) | |
| 363A00000X Physician Assistant (Licence: NE 1899) | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2019-08-23 |