NPI | 1992472260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007026RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 1177136) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2024-09-24 |