| NPI | 1437812500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006953Rx) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 4749) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-02-16 |