NPI | 1427426816 |
---|---|
Former Name | ANGELA R OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004477RX) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-09-02 |
Last Update Date | 2020-08-24 |