| NPI | 1669529129 |
|---|---|
| Former Name | LORI LYNN HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA04913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04913) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-07-27 |