| NPI | 1447490198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 50.001048) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: OH RCP.2245) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |