| NPI | 1538668520 |
|---|---|
| Former Name | LAUREN CHRISTINA JANULIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041411635) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |