NPI | 1841756301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005891) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.005891) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-02-20 |