| NPI | 1326713819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: 50.007053RX) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.007053RX) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |