NPI | 1922080357 |
---|---|
Former Name | LORI JULIA KRAYER EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201905480NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201801833RN) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2019-07-11 |