| NPI | 1396140380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057332) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 004169) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-04 |