| NPI | 1285062638 |
|---|---|
| Former Name | GRETCHANN ELIZABETH FONDREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15291) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2025-04-14 |