| NPI | 1396722559 |
|---|---|
| Former Name | LORI L DEGRAFFENREID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004706) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005529A) |
| 363L00000X Nurse Practitioner (Licence: IN 71005529B) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-10-17 |