NPI | 1154411759 |
---|---|
Former Name | LISA D KALOCZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14379NP) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OH 14379) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OH 14379NP) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-10-26 |