| NPI | 1427390871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: OH 003748) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-02-20 |