| NPI | 1831348911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.002900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053596) |
| 363A00000X Physician Assistant (Licence: GA 006494) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2016-09-15 |