| NPI | 1477576932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051974) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005542RX) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-12-29 |