| NPI | 1043090210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035077) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH APRN.CNP.0035077) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-05 |