NPI | 1861464984 |
---|---|
Former Name | LORI MICHELLE WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301072113) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-107300) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-10-22 |