| NPI | 1639406176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-001026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.001026) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-08-02 |