| NPI | 1497081053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1223) |
| 363AM0700X Physician Assistant, Medical (Licence: WV 1929) | |
| 363A00000X Physician Assistant (Licence: OH 50.007545RX) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-02-09 |