| NPI | 1154683282 |
|---|---|
| Former Name | LAUREN MARCELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN117293) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |