| NPI | 1508544529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.009143RX) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-12-07 |