Heart and Vascular Team

Our dedicated cardiologists work with electrophysiologists, radiologists, nurse practitioners, pulmonologists and vascular surgeons to meet the needs of heart and vascular patients. Our multidisciplinary approach translates into regular daily and weekly group consultations, as well as an open office work environment.

  • Photo of Charles Bower

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    Charles Bower, MD, FACR

    Specialty: Interventional Radiology
    Welcoming new patients

    Goshen Hospital
    200 High Park Ave., Goshen, IN 46526 Get Directions

    (574) 364-1000

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Dr. Charles Bower is a board certified diagnostic and interventional radiologist at Goshen Hospital. He specializes in providing diagnostic and interventional radiology services, primarily for patients with peripheral vascular disease, all types of cancer and end-stage renal disease. Dr. Bower performs a range of radiology services at Goshen Hospital. Before joining Goshen, Dr. Bower practiced in Chicago at Mercy Hospital and Medical Center, and served as faculty of the University of Illinois Radiology Residency program since 2001. 

    Dedicated to education, Dr. Bower is a volunteer assistant professor of radiology at Indiana University School of Medicine and a clinical assistant professor of radiology at the University of Illinois College of Medicine, Chicago. Dr. Bower was awarded Fellowship in the American College of Radiology in 2021, an honor reserved for 10 percent of the membership of the college.

    Away from his medical practice, Dr. Bower combines interests in endurance sports, triathlon and scuba diving with his love of photography and videography. His enjoyment of music led to his serving on the board of organizations including the International Music Foundation that provides free concerts in downtown Chicago and another dedicated to the preservation of Philadelphia’s Wanamaker Organ.

    Philosophy of Care

    Dr. Bower believes in a collaborative approach centered around the patient and family. In addition to working closely with a team of specialists to deliver the best care, he focuses on patient education. When patients understand their condition and options, they are better prepared to choose a treatment plan that fits their needs and preferences.

    Research/Clinical Interest

    • Peripheral vascular disease
    • Dialysis access and maintenance for patients with end-stage renal disease.
    • Interventional oncology

    Education

    Board Certification:
    American Board of Radiology

    Education and training:
    Doctor of Medicine
    Saint Louis University School of Medicine | St. Louis, MO
    Graduated Magna cum Laude

    Residency:
    Radiology
    University of Illinois/Michael Reese Hospital | Chicago, IL

    Orthopedic Surgery
    University of Illinois | Chicago, IL

    General Surgery
    University of Illinois | Chicago, IL

  • Photo of Nathaniel Dew

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    Nathaniel Dew, MD, FACS

    Specialty: General Surgery, Vascular Surgery
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    Goshen Wound & Hyperbaric Center
    2006 S Main St, Goshen, IN 46526 Get Directions

    574-364-4560

    Goshen Surgery Center
    1605 Winsted Dr, Goshen, IN 46526 Get Directions

    574-364-4730

    Gerig Surgical Associates
    2006 S Main St, Goshen, IN 46526 Get Directions

    574-535-9100

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    Biography

    Nathaniel Dew, MD, FACS, has received advanced training in general and vascular surgery, allowing him to perform a wide range of surgical procedures. Dr. Dew is uniquely qualified to diagnose problems and recommend the most appropriate therapy, which may or may not include surgery, as a general surgeon. He may prescribe preventive steps to help patients maintain a healthy, active lifestyle without surgical intervention. If surgery is needed, Dr. Dew incorporates the most advanced techniques and approaches available, such as endoscopy and laparoscopy, to help improve outcomes while reducing stress on the patient.

    Philosophy of Care

    Dr. Dew is committed to providing patients with the latest medical therapies and helping to improve their overall health. He believes and may prescribe preventive steps to help patients maintain a healthy, active lifestyle without surgical intervention.

    Research/Clinical Interest

    • Minimally invasive surgery of the chest, abdomen, pelvis, vascular system and endocrine system.
    • Chronic or slow-healing wounds
    • Planning therapies and interventions to save limbs

    Education

    Board certified in General Surgery

    Education and training:
    Doctor of Medicine
    Indiana University School of Medicine | Indianapolis, IN

    Internship/ Residency:
    General surgery
    Baylor University Medical Center | Dallas, TX

  • Photo of Thomas Etter

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    Thomas Etter, MD

    Specialty: General Surgery
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    Goshen Wound & Hyperbaric Center
    2006 S Main St, Goshen, IN 46526 Get Directions

    574-364-4560

    Goshen Surgery Center
    1605 Winsted Dr, Goshen, IN 46526 Get Directions

    574-364-4730

    Gerig Surgical Associates
    2006 S Main St, Goshen, IN 46526 Get Directions

    574-535-9100

    View Information

    Biography

    Dr. Tom Etter is a general surgeon with Gerig Surgical Associates, P.C. He specializes in a variety of surgical procedures, including in robotic-assisted laparoscopic surgery, vascular surgery, endoscopy and wound care.
     
    Dr. Etter treats patients of all ages, including children. His approach to care may include surgical and non-surgical therapies to help patients maintain their quality of life.
     
    Family comes first for Dr. Etter when he is away from his medical practice. An Indiana  native, Dr. Etter enjoys spending time with his wife, Audrey, three sons, two dogs and two turtles.

    Philosophy of Care

    Dr. Etter is dedicated to helping patients make deliberate, well-informed decisions about their health care. His approach to care is based on principles of fairness for all patients.

    Research/Clinical Interest

    • Complex hernia repair
    • Vascular surgery
    • Robotic-assisted laparoscopic surgery

    Education

    Board Eligible – General Surgery
     
    Education and training:
    Doctor of Medicine
    Indiana University School of Medicine | Indianapolis, IN
     
    Bachelor of Arts in Biology
    Indiana University Kokomo | Kokomo, IN
     
    Residency:
    General Surgery
    St. Vincent Hospital | Indianapolis, IN

  • Photo of Djavid Hadian

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    Djavid Hadian, MD

    Specialty: Electrophysiology
    Welcoming new patients
    Other languages Dutch, Farsi, French

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    Goshen Heart & Vascular Center - Mishawaka
    16605 State Road 23, South Bend, IN 46635 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Djavid Hadian, MD, is a board certified cardiologist with fellowship training in cardiac electrophysiology (EP). He specializes in interventional techniques to manage cardiac arrhythmias and prevent sudden cardiac death. His expertise extends from complex EP studies to evaluate the electrical circuits in the heart to catheter ablation therapy to treat irregular heart rhythms.

    Dr. Hadian has kept hearts beating strong for patients in north central Indiana for more than a decade. His services include heart testing and maintenance of heart wellness as well as pacemaker and defibrillator implants and care.

    As a faculty member at Ohio State University, Dr. Hadian has trained other doctors in heart rhythm management and helped to advance the education of future leaders in cardiology.

    Philosophy of Care

    Dr. Hadian understands the importance of every heartbeat and works hard to protect each one. He listens carefully to patients to tailor treatment to fit their needs and improve their quality of life.

    Research/Clinical Interest

    • Cardiac arrhythmias

    Education

    Certifications:
    American Board of Internal Medicine
    American Board of Internal Medicine – Cardiovascular Disease
    American Board of Internal Medicine – Clinical Cardiac Electrophysiology

    Education and training:
    Doctor of Medicine
    Tehran University of Medical Sciences and Health Services
    Erasmus University | Rotterdam, The Netherlands

    Internship:
    Internal Medicine
    Roanoke Memorial Hospitals | Roanoke, VA

    Residency:
    Internal Medicine
    Johns Hopkins Bayview Medical Center | Baltimore, MD

    Fellowship:
    Cardiovascular Disease/Cardiac Electrophysiology
    Indiana University School of Medicine | Indianapolis, IN

  • Photo of Farid Jalinous

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    Farid Jalinous, MD, FACC, FSCAI

    Specialty: Interventional Cardiology, Cardiology
    Welcoming new patients
    Other languages Farsi, French

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    Goshen Heart & Vascular Center - Mishawaka
    16605 State Road 23, South Bend, IN 46635 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Farid Jalinous is a board certified clinical and interventional cardiologist with Goshen Heart & Vascular Center. He diagnoses and treats patients with cardiovascular disease, such as coronary artery disease, heart failure and atrial fibrillation. Dr. Jalinous performs noninvasive, invasive and interventional cardiovascular procedures to diagnose and treat heart disease.

    A cardiologist for more than 20 years, Dr. Jalinous has extensive experience with advanced, minimally invasive techniques to treat heart conditions. He focuses on catheterization procedures to diagnose heart disease; insert stents and balloons; and resolve restricted blood flow quickly for heart attack patients.

    Prior to joining Goshen Health in 2018, Dr. Jalinous served as a co-director of the catheterization lab for St. Joseph Regional Medical Center and was the clinical director of the cardiac rehabilitation program.

    Peers have rated Dr. Jalinous among the best in his specialty and in the community. The ratings have earned Dr. Jalinous the Regional Top Doctors award from Castle Connolly, a healthcare research company.
     

    Philosophy of Care

    Dr. Jalinous provides compassionate, comprehensive cardiac care tailored to each patient’s needs.

    Research/Clinical Interest

    • General cardiology
    • Coronary artery disease
    • Congestive heart failure
    • Arrhythmias

    Education

    Board Certified - Interventional Cardiology

    Education and training:
    Doctor of Medicine
    Georgetown University School of Medicine | Washington, D.C.

    Residency:
    Internal Medicine
    Georgetown University Medical Center | Washington, D.C.

    Fellowships:
    Interventional Cardiology
    Minneapolis Heart Institute | Minneapolis, MN

    General Adult Cardiology
    Georgetown University Medical Center/VA Medical Center Washington, D.C.

  • Photo of Sreenivas Kamath

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    Sreenivas Kamath, MD, FACC, FSCAI

    Specialty: Interventional Cardiology
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Sreenivas Kamath, MD, FACC, FSCAI, is a board certified cardiologist with Goshen Heart & Vascular Center. He is fellowship trained in cardiovascular medicine and interventional cardiology.
     
    Dr. Kamath specializes in nonsurgical techniques to diagnose and treat coronary artery disease, vascular disease, structural heart disease and congenital heart defects. He focuses on catheter-based procedures to repair damaged or weakened vessels, narrowed arteries or other affected parts of the heart.
     
    As clinical assistant professor at the Michigan State University (Lansing) and Western Michigan University Homer Stryker School of Medicine (Kalamazoo), Dr. Kamath has helped advance the education of future leaders in cardiology.

    Philosophy of Care

    Scientific evidence guides Dr. Kamath's approach to care. He is dedicated to prompt evaluation and treatment of patients suffering from heart failure or heart attack.

    Research/Clinical Interest

    • Cardiovascular diseases
    • Interventional procedures

    Education

    Board Certified – Interventional Cardiology
    Board Certified – Cardiovascular Disease
    Board Certified – Endovascular Medicine
     
    Education and training:
    Doctor of Medicine
    Mahatma Gandhi University College of Medicine | Kerala, India
     
    Bachelor of Medicine and Bachelor of Surgery
    Medical College Kottayam | Kerala, India
     
    Fellowship:
    Interventional Cardiology
    University of Texas Medical Branch at Galveston | Galveston, TX
     
    Cardiovascular Medicine
    Medical College of Wisconsin | Milwaukee, WI
     
    Residency:
    Internal Medicine
    Wright State University Kettering Medical Center | Dayton, OH
     
    Internal Medicine
    Mahatma Gandhi University College of Medicine | Kerala, India

  • Photo of Ram Khattri Chettri

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    Ram Khattri Chettri, MBA, MS, MATS, FNP-C

    Specialty: Cardiology

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

  • Photo of Justin Lightburn

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    Justin Lightburn, MD

    Specialty: Interventional Radiology
    Welcoming new patients

    Goshen Hospital
    200 High Park Ave., Goshen, IN 46526 Get Directions

    (574) 364-1000

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Dr. Justin Lightburn is an Interventional Radiologist at Goshen Hospital where he performs vascular, non-vascular and interventional oncologic procedures. He serves as the Director of Interventional Radiology for Goshen Hospital.

    Dr. Lightburn specializes in endovascular and interventional oncology procedures. His endovascular procedures include common carotid artery stent placements, carotid ultrasounds, stenting, ablations and venography. He treats peripheral artery disease, vascular malformation, carotid artery disease, aortic aneurysm, cerebrovascular disease and venous insufficiency. His interventional oncology procedures include radioembolization of tumors, chemoembolization of tumors and percutaneous ablation of tumors.

    Philosophy of Care

    Dr. Lightburn focuses on each patient’s needs and values mutual communication to provide the best possible care.

    Research/Clinical Interest

    • Peripheral artery disease
    • Cerebrovascular disease
    • Aortic aneurysm
    • Carotid artery disease
    • Venous insufficiency
    • Vascular malformation
    • Interventional Oncology
    • Peripheral Interventions

    Education

    Certifications:
    Interventional Radiology Certificate of Advanced Qualification
    American Board of Radiology

    Education and training:
    Doctor of Medicine
    Indiana University School of Medicine | Indianapolis, IN

    Residency:
    Diagnostic Radiology
    Indiana University School of Medicine | Indianapolis, IN
     
    Fellowship:
    Interventional Radiology
    Indiana University School of Medicine | Indianapolis, IN

    Internship:
    General Surgery
    Indiana University School of Medicine | Indianapolis, IN

  • Photo of Blair MacPhail

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    Blair MacPhail, MD, FACC

    Specialty: Interventional Cardiology, Cardiology
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Blair MacPhail, MD, is an interventional cardiologist at Goshen Heart & Vascular Center. He has extensive experience in cardiology, with more than 25 years of caring for patients. As an interventional cardiologist, he takes care of general cardiology problems and peripheral vascular problems as well. He treats narrowed and blocked arteries by appropriately evaluating and removing clots from blocked arteries; using laser and atherectomy devices to open arteries; and strategically placing balloons and stents to stabilize and improve blood flow. Dr. MacPhail assesses and treats patients with coronary artery disease, congestive heart failure, arrhythmias, peripheral vascular disease, hypertension and valvular and vascular heart disease. Dr. MacPhail worked as an interventional and staff cardiologist at Community Physician Network & Community Health Network, Kokomo and Indianapolis. He was the director of the cath lab at Indiana University Health Saxony in Fishers, IN. He served as an interventional cardiologist at Heart Partners of Indiana, LLC, and Indiana Heart Associates, PC in Indianapolis. He also worked as a research biochemist in the Recombinant DNA Program for Eli Lilly and Company, Indianapolis.
     

    Philosophy of Care

    Dr. MacPhail focuses on each patient’s needs and values mutual communication to provide the best possible care. He is committed to creating a team approach to diagnose and treat each problem by working closely with the primary care physician and other subspecialists.

    Research/Clinical Interest

    • General cardiology
    • Peripheral vascular disease
    • Coronary artery disease
    • Congestive heart failure
    • Arrhythmias
    • Hypertension
    • Valvular and vascular heart disease

    Education

    Certifications:
    Internal Medicine
    Board certified in Cardiology

    Education and training:
    Doctor of Medicine
    Indiana University School of Medicine | Indianapolis, IN

    Residency:
    Internal medicine
    Butterworth Hospital | Grand Rapids, MI

    Fellowship:
    Cardiology
    University of Kentucky Hospitals | Lexington, KY

  • Photo of Abrar Sayeed

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    Abrar Sayeed, MD

    Specialty: Invasive Cardiology, Cardiology
    Welcoming new patients
    Other languages Hindi, Telugu, Urdu

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    Goshen Heart & Vascular Center - Syracuse
    1033 S. Indiana Avenue, Syracuse, IN 46567 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Abrar Raza Sayeed, MD, specializes in cardiology at the Goshen Heart and Vascular Center. As a cardiologist, he provides both inpatient and outpatient care at the center. Dr. Sayeed performs many different tests and procedures to both diagnose and treat patients.
     

    Philosophy of Care

    Dr. Sayeed believes that medicine is one of the best ways to serve humanity and that it is best practiced when our focus is towards a patient-centered approach in the delivery of medical care. Dr. Sayeed’s approach is not just about solving the medical disease and alleviating the suffering of his patients. He believes that approaching this same goal by understanding the impact the disease has on his patients from the psychological, social and behavioral standpoint is of utmost importance.

    Research/Clinical Interest

    • Invasive General Cardiology
    • Acute coronary syndrome
    • Heart failure
    • Arrhythmias concentrating on atrial fibrillation, atrial flutter, supraventricular tachycardia (SVT), ventricular tachycardia (VT), V-fib, syncope
    • Lipids and hypercholesterolemia,
    • Hypertension
    • Valve diseases
    • Venous insufficiency
    • Peripheral arterial disease
    • pulmonary hypertension

    Education

    Certifications:
    NBE – ASC Certification
    Board Certified - ABIM
    ACLS and BLS Certified

    Education and training:
    Deccan College of Medical Sciences | Hyderabad, India

    Duty Medical Officer
    Chest Care Clinic

    Hospitalist
    St. Joseph Mercy Hospital | Ann Arbor, MI

    Fellowship:
    Cardiology Fellowship
    Wright State University | Dayton, OH

    Residency:
    Internal Medicine
    Michigan State University | East Lansing, MI

    Internship:
    Rotating Internship
    Owaisi Hospital and Research Center |Hyderabad, India

  • Photo of LeRoy Weaver, Jr

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    LeRoy Weaver, Jr, MD

    Specialty: Radiology

    Goshen Hospital
    200 High Park Ave., Goshen, IN 46526 Get Directions

    (574) 364-1000

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

  • Photo of Kim Kahler

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    Kim Kahler, MSN, ACNP-BC

    Specialty: Cardiology
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Kim W. Kahler, MSN, ACNP-BC, is a nurse practitioner who provides care at Goshen Heart & Vascular Center. With over 20 years of nursing experience, he is completely devoted to his patients. Prior to joining Goshen Heart & Vascular Center, Kim worked as a nurse practitioner at Goshen Center for Cancer Care. He was also a nurse practitioner at the Nebraska Heart Institute and a medical oncology nurse practitioner at Great Plains Regional Medical Center, both in North Platte, NE. Throughout his career, Kim has served in several areas of nursing including emergency room, intensive care, cardiothoracic surgery and as a nursing coordinator. In addition to his bachelor’s and master’s degrees in nursing, Kim also holds bachelor’s degrees in education and life science. Just as dedicated to his country as to his patients, Kim serves as a lieutenant colonel in the Air Force Reserves at Wright-Patterson Air Force Base in Ohio.

    Philosophy of Care

    Kim believes that quality health care involves determining how all aspects of a person’s life impact his or her health. He approaches each patient with deep personal commitment, building a relationship based on compassion and honesty that helps him provide everyone with the best possible care.

    Research/Clinical Interest

    • Coronary artery disease
    • Hypertension management
    • Lipid management

    Education

    Board certified Acute Care Nurse Practitioner

    Education and training:
    Master of Science in Nursing
    University of Nebraska | Omaha, NE

  • Photo of Jami Kamp

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    Jami Kamp, MSN, FNP-BC

    Specialty: Cardiology
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Jami K. Kamp, MSN, RN, FNP-BC, is a board certified family nurse practitioner with a wide variety of health care experience including acute care pediatrics, osteoporosis, interventional radiology and adult cardiology. She joined Goshen Heart & Vascular Center after beginning her nurse practitioner career in interventional radiology. As part of the cardiology team, Jami uses her advanced clinical assessment skills to diagnose and treat chronic and acute coronary and peripheral vascular disease. She evaluates patients’ needs and develops treatment plans for patients with chest pain, congestive heart failure, palpitations, high blood pressure, leg pain, arrhythmia and more.

    Philosophy of Care

    Jami not only looks at the illness or disease process, but she looks at how they affect the person and his or her individual circumstances, combining the holistic nursing model with the medical model.

    Research/Clinical Interest

    • Diagnose and treat chronic and acute coronary artery disease
    • Peripheral vascular disease
    • Congestive heart failure
    • High blood pressure
    • Atrial fibrillation

    Education

    Board certified Family Nurse Practitioner

    Education and training:
    Nurse Practitioner
    Indiana University South Bend | South Bend, IN

    Master of Nursing
    Indiana University South Bend | South Bend, IN

  • Photo of Nickie Ralston

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    Nickie Ralston, MSN, FNP-C

    Specialty: Cardiology
    Welcoming new patients

    Goshen Heart & Vascular Center
    1855 S Main St, Goshen, IN 46526 Get Directions View Website

    574-533-7476
    574-537-5000

    View Information

    Biography

    Nickie Ralston, cardiovascular nurse practitioner, provides comprehensive care for patients at Goshen Heart & Vascular Center. As a lifelong resident of Goshen, Nickie is dedicated to helping address the healthcare needs of the community. She promotes optimal health by educating her patients about how to prevent cardiovascular disease and manage chronic conditions, such as coronary artery disease, heart failure and atrial fibrillation. Nickie has advanced her critical thinking skills and treatment of chronic health conditions throughout her career, including two decades as a registered nurse in internal medicine and critical care.

    Philosophy of Care

    Nickie balances her clinical understanding of each patient’s overall condition with evidence-based practices and individual preferences to determine an acceptable course of care.

    Research/Clinical Interest

    • Prevention
    • Managing chronic conditions such as coronary artery disease, heart failure and atrial fibrillation

    Education

    Board certified Nurse Practitioner

    Education:
    Master of Science in Nursing
    Goshen College | Goshen, IN