| NPI | 1588009674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.00633RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106506) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-02-25 |