| 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 |