| NPI | 1730884370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 50.008091RX) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-01-08 |