NPI | 1437235058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 50.000376RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50000376) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2021-01-28 |