| NPI | 1689028607 |
|---|---|
| Former Name | CHERYL BALTZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.15600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 15600) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2019-05-01 |