| NPI | 1568762011 |
|---|---|
| Former Name | LORETTA GOREVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201250116NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201042847RN) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2012-07-26 |