| NPI | 1417333006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004928) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA PA56393) |
| 363A00000X Physician Assistant (Licence: NC 001005693) | |
| 363A00000X Physician Assistant (Licence: CA 56393) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-01-13 |