| NPI | 1669972238 |
|---|---|
| Former Name | LORI ANN FETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R2485705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 30959.1728) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-06-02 |