| NPI | 1477029684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5888) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005759RX) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2025-08-21 |