| NPI | 1346344462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50-002918) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 1000496) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-01-13 |