| NPI | 1366921751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005584RX) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 50.005584RX) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-04-27 |