| NPI | 1285966911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.002902RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.002902) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-11-26 |