| NPI | 1821247917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-6928) |
| 363A00000X Physician Assistant (Licence: PA MA055871) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2023-06-19 |