| NPI | 1518078609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-002113) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 58374911206) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-08-22 |