NPI | 1831441831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50003643) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-003643) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2022-03-14 |