| NPI | 1891096418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003176) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003176) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2022-06-24 |