| NPI | 1821759085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030569) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH APRN.CNP.0030569) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.420981) | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-03-19 |