| NPI | 1013321835 |
|---|---|
| Former Name | JENNIFER K POLOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 16057-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 332567) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |