| NPI | 1720647126 |
|---|---|
| Former Name | LAUREN JELENCHICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-07-07 |