| NPI | 1215991088 |
|---|---|
| Former Name | LORI ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 301578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60311610) |
| 363L00000X Nurse Practitioner (Licence: WA AP60311613) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 11697) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-01-14 |