| NPI | 1831724897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH APRN.CNP.025874) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP025874) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-05-09 |