| NPI | 1447268388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 2599) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102126) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-08-04 |