| NPI | 1043592207 |
|---|---|
| Former Name | KIRSTEN MARIE BAUMAN HOUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12653) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2020-03-09 |