NPI | 1558424614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-001937) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50001937) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2014-08-18 |