NPI | 1306097761 |
---|---|
Former Name | LORI ANN CLEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005740) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005740) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2018-10-27 |