| NPI | 1285396234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009460RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008609) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-06-02 |