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 |