NPI | 1306296058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006215) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD-8008) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2019-10-18 |