| NPI | 1346725587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060202) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.005979RX) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2022-09-09 |