| NPI | 1932687522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005620RX) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 50.005620RX) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2023-12-12 |