| NPI | 1033159785 |
|---|---|
| Former Name | LORA RUTH FIFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34008136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 2098) |
| 207Q00000X Family Medicine (Licence: MT 37770) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-12-04 |