| NPI | 1265798482 |
|---|---|
| Former Name | LORA LEA SANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012008582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75651) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2021-10-07 |