| NPI | 1801844485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2196) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-10-21 |