| 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 |