| NPI | 1376097352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006697RX) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-11-12 |