NPI | 1932125309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1067) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.001988RX) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2023-02-13 |