| NPI | 1326050626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 1968) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 50.001968rx) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-04-17 |