| NPI | 1982485249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008342RX) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 50.008342RX) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-11-16 |