NPI | 1497204788 |
---|---|
Other Name | LORI ANN DEVIVO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016766) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00672700) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2017-03-06 |