| NPI | 1184070856 |
|---|---|
| Former Name | CARA CHAMPION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP19212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.410582) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.19212-NP) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-08-25 |