| NPI | 1871521260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.000533RX) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.000533) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-01-13 |