| NPI | 1629541370 |
|---|---|
| Former Name | KELLY MARIE EBERHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH APRN.CNP.024039) |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-01-05 |