| NPI | 1942751433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058665) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003957) |
| 363A00000X Physician Assistant (Licence: OH 50.006251RX) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-09-09 |