| NPI | 1740345032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.001341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-001341) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-10-06 |