NPI | 1629182258 |
---|---|
Former Name | LORI ELIZABETH DRAGMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 05012-NP) |
Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: OH RN234958) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2011-02-18 |