| NPI | 1104310291 |
|---|---|
| Former Name | KARLA RENE PEDICONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP022599) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R222828) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-09-16 |