| NPI | 1265919294 |
|---|---|
| Former Name | LORI R SLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8709-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 80283-30) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-10-01 |