| NPI | 1235740556 |
|---|---|
| Former Name | LUCILLE ELIZABETH RORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9699-33) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-08-07 |