NPI | 1649712233 |
---|---|
Former Name | LORI LELII |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP03274) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000991) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2024-09-11 |