| NPI | 1326276379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OH 50.003075) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2013-06-19 |