| NPI | 1972270833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007126RX) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 50.007126RX) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-01-31 |