NPI | 1447623723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007546RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057854) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2023-02-15 |