| NPI | 1457337156 |
|---|---|
| Former Name | LORI LYNN GROSS HOLSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OR MD27027) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-10-08 |