| NPI | 1558454066 |
|---|---|
| Former Name | LORI JANE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 58) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 58 (PA-C)) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-10-11 |