| NPI | 1437514718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111489) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004514) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2019-06-20 |