| NPI | 1871966010 |
|---|---|
| Former Name | SARA E KRAVOCHUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18059-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326489-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.18059-NP) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-01-05 |