| NPI | 1821489220 |
|---|---|
| Former Name | KRISTIN AMANDA PONZANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 17884-NP) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA. 16690-NS) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2019-02-28 |