| NPI | 1295941292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003716RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051991) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-04-09 |