| NPI | 1245600121 |
|---|---|
| Former Name | JILLIAN BLAIR KAWALEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.359991-1) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2018-02-20 |