| NPI | 1730514472 |
|---|---|
| Former Name | LORIE MARIE RESKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76158) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2013033427) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-02-10 |