| NPI | 1376851204 |
|---|---|
| Former Name | LORI L WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 145041-3) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-08-10 |