| NPI | 1497482855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008053RX) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 50.008053RX) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-08-17 |