NPI | 1740901370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009583RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003695A) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2025-09-12 |