| NPI | 1710264320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003351RX) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 50003351) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-01-14 |