| NPI | 1932847837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 50.007863RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2025-06-18 |