| NPI | 1649981457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0032698) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH APRN.CNP.0032698) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-19 |