NPI | 1598958035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 2642) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: OH 2642) |
Enumeration Date | 2007-08-18 |
Last Update Date | 2007-11-25 |