| NPI | 1902801368 |
|---|---|
| Former Name | KARLA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 04043NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04043) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2021-02-24 |