| NPI | 1629280698 |
|---|---|
| Former Name | LAUREN ELISSA JIORLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 22DI02343600) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02343600) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-07-03 |