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 | 2024-06-24 |