| NPI | 1518368125 |
|---|---|
| Former Name | LORI MARIE AMERAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 271070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN264419) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |