| NPI | 1598361685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007733RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2022-09-16 |