| NPI | 1437200581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5704) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50-00-0308) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-07 |