| NPI | 1437420346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-003596) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07555) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2019-03-04 |