| NPI | 1073535308 |
|---|---|
| Former Name | LORI PEARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704140266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704140266) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704140266) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-01-29 |