| NPI | 1417113465 |
|---|---|
| Former Name | LORIE JEANNE HOBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD R016127) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-10-01 |