| NPI | 1134818875 |
|---|---|
| Former Name | LAUREN ELAINE O'DANIELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027222) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-11-10 |