| 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 |