| NPI | 1447432273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.002914) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002441) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-06-22 |