| NPI | 1659453439 |
|---|---|
| Former Name | LORI J O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106376) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-002502) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-03-22 |