| NPI | 1831550177 |
|---|---|
| Former Name | LORETTA G. JOEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 100988) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008437) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008437) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-11-17 |