NPI | 1811750680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009355RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 5238) |
Enumeration Date | 2024-02-02 |
Last Update Date | 2025-03-27 |