| NPI | 1285454629 |
|---|---|
| Former Name | JENNIFER ELIZABETH POLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP..0028307) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-12-02 |