| NPI | 1164470498 |
|---|---|
| Former Name | LORI A MACKINNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN205261) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA36610) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-11-03 |