| NPI | 1700371440 |
|---|---|
| Former Name | LORI K GROVE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019002) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN561782) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-01-27 |