| NPI | 1184860876 |
|---|---|
| Former Name | LORI NICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9419085) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN335908L) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2019-01-14 |