| NPI | 1609016724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50 002226) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2024-03-28 |