NPI | 1497274054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005197RX) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.005197RX) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2019-07-15 |