NPI | 1053654509 |
---|---|
Former Name | LORI BETH PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007904) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007904) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2017-05-01 |