NPI | 1609997501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 1010849) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 028229) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2023-01-25 |