| NPI | 1689856353 |
|---|---|
| Former Name | LORRI TEREESE SAMUELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R217052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002814A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005389) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MD R217052) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-07-20 |