| NPI | 1669985362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OH 50.005282RX) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 50.005282RX) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-04-06 |