| NPI | 1982110367 |
|---|---|
| Former Name | LORI SUE GALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704166647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704166647) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-07-14 |