NPI | 1952922866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10688) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007616RX) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2024-04-24 |