| NPI | 1740700251 |
|---|---|
| Former Name | KARLY CHRISTINE FATICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.449510) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-10-09 |