| NPI | 1467952036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005471RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA62764) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2025-03-20 |