| NPI | 1427682012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9647) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006286) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2024-07-31 |