| NPI | 1760166169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 50.008215RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA064541) |
| 363A00000X Physician Assistant (Licence: PA OA006487) | |
| 363A00000X Physician Assistant (Licence: OH 50.008215RX) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-09-11 |