| NPI | 1538399795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-002897) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-001999) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |