| NPI | 1538535984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004403) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-01-03 |