| NPI | 1023543030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH APRNCNS019324) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH APRN.CNS.019324) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-08-07 |