| NPI | 1285172908 |
|---|---|
| Former Name | LORI LYNN BREVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201701862NP-PP) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OR 201041933RN) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2020-11-04 |