| NPI | 1841820511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008207RX) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 3051) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-06-16 |