| NPI | 1447807888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50006105RX) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 50.006105RX) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-01-07 |