| NPI | 1952298614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.009508RX) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 50.009508RX) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-07-18 |