NPI | 1285783399 |
---|---|
Former Name | LORI JOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NM AA2007-001) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 003714) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2013-04-02 |