NPI | 1730309428 |
---|---|
Former Name | LORI LYNN KALAVITY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-09276) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN214424) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2015-09-15 |