| NPI | 1861225849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008949RX) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH APP-000873137RX) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-09-18 |