| NPI | 1083615082 |
|---|---|
| Former Name | LORI DANIELLE MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C54788) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036112630) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-08-13 |