| NPI | 1841277951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 1035263) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4906) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2017-11-10 |