| NPI | 1508321431 |
|---|---|
| Former Name | KATELYN ELLEN UTENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.415162) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-03-29 |