| NPI | 1598435034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007226RX) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: OH 50.007226RX) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-01-04 |