| NPI | 1871290270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008015) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50-008015) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-08-12 |