| NPI | 1366494833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50001072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 50 001072) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-04-05 |