| NPI | 1699133322 |
|---|---|
| Former Name | LAUREN ORNELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014049) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2020-09-07 |