| NPI | 1568135754 |
|---|---|
| Former Name | JANSEN LORRAINE SIA LLORICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1158668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN478812) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.003530) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-05-20 |