| NPI | 1073159059 |
|---|---|
| Former Name | KATHERINE MARIE RUDNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.414738) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-02-10 |