NPI | 1386258663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006606RX) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 50.006606RX) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-12-01 |