| 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 |