NPI | 1710972260 |
---|---|
Former Name | LORI A BROMAGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3002772) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3002772) |
163W00000X Registered Nurse (Licence: KY 1078503) | |
363L00000X Nurse Practitioner (Licence: KY 3002772) | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2023-07-27 |