| NPI | 1891251815 | 
|---|---|
| Former Name | JANET RUTH LORENZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028161) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011522) | 
| Enumeration Date | 2019-02-14 | 
| Last Update Date | 2023-09-18 |