| NPI | 1124474408 |
|---|---|
| Former Name | LORELII ELIZABETH ODLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 36615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 62572) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2026-09-15 |