| NPI | 1265417950 |
|---|---|
| Former Name | MICHELE A KLOOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-03295) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-03295) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-12-30 |